,Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
Latest Updated Study Guide 2023
Best Exam Guide
a. They will combat infection brought on by the allergic response.
b. They will act as a steroid to lessen the allergic response.
c. They will increase tolerance to the antigen.
d. They will decrease the production of the antibodies.
ANS: C
Injections of increasing amounts of minute doses of the antigen will desensitize the body
against the antigen.
DIF: Cognitive Level: Application REF: p. 76 OBJ: 18
TOP: Long-Term Pharmacologic Treatment of Allergies
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
18. A patient who is receiving daily steroids for the control of a condition calls the nurse to
ask advice about whether a small child who has been exposed to influenza should come
and visit because she has not had any symptoms. What is the most appropriate response by
the office nurse?
a. “Yes, let the child visit. There is no reason not to visit because this child is not
sick.”
b. “No, the child should not visit. Infectious diseases are often most communicable in
the short period before the child actually becomes ill.”
c. “It would be up to the patient. Plan not to get overtired with a small child running
and bouncing around.”
d. “Take the child who is not sick to her own physician and ask this question first.”
ANS: B
Children, especially those who have been exposed to a contagious disease but are not yet
symptomatic, are still very contagious, especially to an immunocompromised patient.
DIF: Cognitive Level: Application REF: pp. 63-64 OBJ: 10
TOP: Contagious Infections KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
19. A patient with the diagnosis of Clostridium difficile infection asks what has caused the
diarrhea. What is the best response by the nurse?
a. It is caused by a protozoal infection.
b. It is caused by a fecal–oral contamination.
c. It is caused by an inflammatory response.
d. It is caused by a long-term antibiotic therapy.
ANS: D
Superinfections such as Clostridium difficile infections are caused by long-term antibiotic
therapy, which kills all the natural flora of the bowel and causes diarrhea.
DIF: Cognitive Level: Comprehension REF: p. 67 OBJ: 10
TOP: Superinfection KEY: Nursing Process Step: Implementation
dr.j
,Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
Latest Updated Study Guide 2023
Best Exam Guide
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
20. A patient receiving a large intramuscular dose of antibiotic was asked to please wait 20 to
30 minutes before checking out. What is the reason for this request?
a. The office staff needs to make sure that the right medicine was administered before
dr.j
, Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
Latest Updated Study Guide 2023
Best Exam Guide
the patient leaves.
b. The nurse always forgets to ask the patient about allergies before administering the
antibiotic.
c. Antibiotics are a common source of severe allergic reactions within the first few
minutes after an injection.
d. The staff wants to make sure that the patient has time to pay for the services
delivered that day.
ANS: C
Antibiotic administration is a common cause of anaphylaxis. The patient is asked to wait
to allow medical personnel to reverse the condition should it occur within minutes after an
injection.
DIF: Cognitive Level: Comprehension REF: pp. 77-78 OBJ: 18
TOP: Antibiotic Anaphylaxis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
21. After receiving an injection of penicillin, a patient undergoes an anaphylactic reaction.
What should the nurse do first?
a. Administer oxygen.
b. Prepare fluids to combat shock.
c. Notify the charge nurse.
d. Cover with several blankets.
ANS: A
The first intervention should be to supply oxygen. Notification of the charge nurse and the
administration of fluids to combat hypovolemia will come afterward. Covering with
blankets would increase the vasodilation and increase the shock.
DIF: Cognitive Level: Application REF: p. 78 OBJ: 18
TOP: Anaphylaxis Assessment and Intervention
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
22. The Centers for Disease Control and Prevention (CDC) has issued new guidelines for
infection control. Nursing care plans for patients with infection should mainly address
which protocol?
a. Disease-specific precautions
b. Manner in which clean gloves are worn
c. Standard Precautions guidelines
d. Placement of needles and sharps
ANS: C
The CDC has issued new guidelines for Standard Precautions for infection control. These
cover disease-specific precautions, the manner in which clean gloves are worn, and the
placement of needles and sharps. Only the Standard Precautions guidelines are all
inclusive.
dr.j
Linton: Medical-Surgical Nursing, 7th Edition
Latest Updated Study Guide 2023
Best Exam Guide
a. They will combat infection brought on by the allergic response.
b. They will act as a steroid to lessen the allergic response.
c. They will increase tolerance to the antigen.
d. They will decrease the production of the antibodies.
ANS: C
Injections of increasing amounts of minute doses of the antigen will desensitize the body
against the antigen.
DIF: Cognitive Level: Application REF: p. 76 OBJ: 18
TOP: Long-Term Pharmacologic Treatment of Allergies
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
18. A patient who is receiving daily steroids for the control of a condition calls the nurse to
ask advice about whether a small child who has been exposed to influenza should come
and visit because she has not had any symptoms. What is the most appropriate response by
the office nurse?
a. “Yes, let the child visit. There is no reason not to visit because this child is not
sick.”
b. “No, the child should not visit. Infectious diseases are often most communicable in
the short period before the child actually becomes ill.”
c. “It would be up to the patient. Plan not to get overtired with a small child running
and bouncing around.”
d. “Take the child who is not sick to her own physician and ask this question first.”
ANS: B
Children, especially those who have been exposed to a contagious disease but are not yet
symptomatic, are still very contagious, especially to an immunocompromised patient.
DIF: Cognitive Level: Application REF: pp. 63-64 OBJ: 10
TOP: Contagious Infections KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
19. A patient with the diagnosis of Clostridium difficile infection asks what has caused the
diarrhea. What is the best response by the nurse?
a. It is caused by a protozoal infection.
b. It is caused by a fecal–oral contamination.
c. It is caused by an inflammatory response.
d. It is caused by a long-term antibiotic therapy.
ANS: D
Superinfections such as Clostridium difficile infections are caused by long-term antibiotic
therapy, which kills all the natural flora of the bowel and causes diarrhea.
DIF: Cognitive Level: Comprehension REF: p. 67 OBJ: 10
TOP: Superinfection KEY: Nursing Process Step: Implementation
dr.j
,Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
Latest Updated Study Guide 2023
Best Exam Guide
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
20. A patient receiving a large intramuscular dose of antibiotic was asked to please wait 20 to
30 minutes before checking out. What is the reason for this request?
a. The office staff needs to make sure that the right medicine was administered before
dr.j
, Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
Latest Updated Study Guide 2023
Best Exam Guide
the patient leaves.
b. The nurse always forgets to ask the patient about allergies before administering the
antibiotic.
c. Antibiotics are a common source of severe allergic reactions within the first few
minutes after an injection.
d. The staff wants to make sure that the patient has time to pay for the services
delivered that day.
ANS: C
Antibiotic administration is a common cause of anaphylaxis. The patient is asked to wait
to allow medical personnel to reverse the condition should it occur within minutes after an
injection.
DIF: Cognitive Level: Comprehension REF: pp. 77-78 OBJ: 18
TOP: Antibiotic Anaphylaxis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
21. After receiving an injection of penicillin, a patient undergoes an anaphylactic reaction.
What should the nurse do first?
a. Administer oxygen.
b. Prepare fluids to combat shock.
c. Notify the charge nurse.
d. Cover with several blankets.
ANS: A
The first intervention should be to supply oxygen. Notification of the charge nurse and the
administration of fluids to combat hypovolemia will come afterward. Covering with
blankets would increase the vasodilation and increase the shock.
DIF: Cognitive Level: Application REF: p. 78 OBJ: 18
TOP: Anaphylaxis Assessment and Intervention
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
22. The Centers for Disease Control and Prevention (CDC) has issued new guidelines for
infection control. Nursing care plans for patients with infection should mainly address
which protocol?
a. Disease-specific precautions
b. Manner in which clean gloves are worn
c. Standard Precautions guidelines
d. Placement of needles and sharps
ANS: C
The CDC has issued new guidelines for Standard Precautions for infection control. These
cover disease-specific precautions, the manner in which clean gloves are worn, and the
placement of needles and sharps. Only the Standard Precautions guidelines are all
inclusive.
dr.j
